A bit more from the Noah Gunderson sleeve notes...

At some point this whole process must have lost its charm. It was two years ago that Noah, like some artistic ouroboros, began to sing the words “Am I earning the right to live by looking in a mirror? There’s nothing more sincere than selfish art?” The cyclic ritual of self-induced nausea, staring in the mirror mouth agape, waiting to wretch new words and sounds, was catching up with him. Not long after, in the early part of 2016, he sat down for a show and felt like he was dying. “Instead of my life up to that point flashing before my eyes, it was my future. A future playing songs I didn’t believe in... pouring my soul out into a vehicle I no longer recognized or loved.”
Yukky yuk!

Ouroboros?   I had to look it up!